Among non-neoplastic lesions histological variants of appendicitis like acute appendicitis, acute suppurative appendicitis, chronic appendicitis, fibrosing appendicitis, obliterative appendicitis, follicular appendicitis, eosinophilic appendicitis, gangrenous appendicitis, appendicular abscess, perforated appendicitis and appendicitis with Enterobius Vermicularis infestation were reported.
Other forms of appendicitis like acute suppurative appendicitis, chronic appendicitis, fibrosing appendicitis, obliterative appendicitis, follicular appendicitis, eosinophilic appendicitis, gangrenous appendicitis, appendicular abscess, perforated appendicitis were reported.
In some studies, it has been reported that IL-2 levels increase in acute focal and suppurative appendicitis
Mainzer, "Acute suppurative appendicitis
occurring within a femoral hernia: report of a case," Diseases of the Colon &Rectum, vol.
Limited cases have been reported.[sup],,, Most of the symptomatic cases happened in the course of leukemia relapse or progression.[sup], Some were incidentally revealed by postmortem study.[sup] Although patients in the known setting of AML who develop abdominal pain after receiving chemotherapy are often found to have suppurative appendicitis
after surgical intervention, acute leukemic appendicitis as the initial manifestation of AML proven on pathological review is even rarer,[sup], and early recognition is difficult, especially when there is no obvious blasts in the peripheral blood like our case.
Histopathological diagnosis include acute appendicitis 250 (52.0%), suppurative appendicitis 135 (28.0%) acute gangrenous appendicitis 60 (12.5%), perforated appendicitis 9 (2.0%), chronic appendicitis 12 (2.5%).
In acute appendicitis there are neutrophils in mucosa, wall of appendix and congested blood vessel with fibrinous exudates in the serosa while suppurative appendicitis associated with obstruction (fecalith, ball of worms) and abscess formation within the wall and foci of suppurative necrosis in the mucosa.5
Here, we report the case of a pediatric patient infected with Blastocystis that was manifested by gastroenteritis associated with suppurative appendicitis and peritonitis.
Histopathologic observation revealed acute suppurative appendicitis with ulcerations extending deep into the muscularis, which was covered with a suppurative and fibrinous exudate.
In the study by Bensard et al., overall 66% of the children with acute appendicitis (27/41) and 27% with suppurative appendicitis
(3/11) were discharged within 24 hours of admission .
Other authors have also suggested the same reasons for true gangrenous or suppurative appendicitis
developing in the course of measles.
Histopathological classification of appendix specimen with parasite was normal histology, acute appendicitis, acute suppurative appendicitis